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本文引用的文献

1
Effectiveness of the "Elderly Activity Performance Intervention" on elderly patients' discharge from a short-stay unit at the emergency department: a quasi-experimental trial.“老年活动表现干预”对急诊科短期留观老年患者出院效果的影响:一项准实验研究。
Clin Interv Aging. 2018 Apr 26;13:737-747. doi: 10.2147/CIA.S162623. eCollection 2018.
2
Older people readmitted to hospital for acute medical care - Implications for occupational therapy.因急性医疗护理再次入院的老年人——对职业治疗的启示
Scand J Occup Ther. 2017 Mar;24(2):143-150. doi: 10.1080/11038128.2016.1227367. Epub 2016 Sep 16.
3
Acute care of older patients in the emergency department: strategies to improve patient outcomes.急诊科老年患者的急性护理:改善患者预后的策略。
Open Access Emerg Med. 2015 Sep 4;7:45-54. doi: 10.2147/OAEM.S69974. eCollection 2015.
4
Impact of pain characteristics and fear-avoidance beliefs on physical activity levels among older adults with chronic pain: a population-based, longitudinal study.疼痛特征和恐惧回避信念对慢性疼痛老年人身体活动水平的影响:一项基于人群的纵向研究。
BMC Geriatr. 2016 Feb 24;16:50. doi: 10.1186/s12877-016-0224-3.
5
Discharge planning from hospital.医院出院计划。
Cochrane Database Syst Rev. 2016 Jan 27;2016(1):CD000313. doi: 10.1002/14651858.CD000313.pub5.
6
Comprehensive geriatric assessment on an acute medical unit: a qualitative study of older people's and informal carer's perspectives of the care and treatment received.急性内科病房的综合老年评估:一项关于老年人及非正式照料者对所接受护理和治疗看法的定性研究
Clin Rehabil. 2017 Jan;31(1):126-134. doi: 10.1177/0269215515624134. Epub 2016 Jul 10.
7
Considerations and recommendations for conducting qualitative research interviews with palliative and end-of-life care patients in the home setting: a consensus paper.关于在家中对姑息治疗和临终关怀患者进行定性研究访谈的考量与建议:一份共识文件。
BMJ Support Palliat Care. 2019 Mar;9(1):e14. doi: 10.1136/bmjspcare-2015-000892. Epub 2015 Dec 8.
8
Older patients' participation in hospital admissions through the emergency department: an interview study of healthcare professionals.老年患者通过急诊科参与住院治疗:一项针对医护人员的访谈研究
BMC Health Serv Res. 2015 Oct 21;15:475. doi: 10.1186/s12913-015-1136-1.
9
Discharging older patients from the emergency department effectively: a systematic review and meta-analysis.有效地让老年患者从急诊科出院:一项系统评价和荟萃分析。
Age Ageing. 2015 Sep;44(5):761-70. doi: 10.1093/ageing/afv102. Epub 2015 Aug 10.
10
Efficacy of emergency department-based interventions designed to reduce repeat visits and other adverse outcomes for older patients after discharge: A systematic review.旨在减少老年患者出院后再次就诊及其他不良结局的急诊科干预措施的效果:一项系统评价。
Geriatr Gerontol Int. 2015 Sep;15(9):1107-17. doi: 10.1111/ggi.12538. Epub 2015 Jul 14.

从急诊科短期留观病房出院后回归日常生活:老年患者体验的定性研究。

Returning to everyday life after discharge from a short-stay unit at the Emergency Department-a qualitative study of elderly patients' experiences.

机构信息

a Department of Physiotherapy and Occupational Therapy , Aarhus University Hospital , Aarhus , Denmark.

b Department of Occupational Therapy , VIA University College , Aarhus , Denmark.

出版信息

Int J Qual Stud Health Well-being. 2019;14(1):1563428. doi: 10.1080/17482631.2018.1563428.

DOI:10.1080/17482631.2018.1563428
PMID:30693847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6352949/
Abstract

INTRODUCTION

Elderly patients often receive care and rehabilitation from different providers across healthcare settings. Collaboration between hospital and primary care providers is therefore essential to ensure that the discharge and transition of rehabilitation is coherent. However, research that focuses on elderly patients' experiences of the discharge, and their everyday lives after, has attracted little attention.

PURPOSE

This study explores elderly patients' experiences of being discharged and returning to everyday lives after discharge from a short-stay unit at the Emergency Department.

METHODS

Eleven qualitative interviews with elderly patients were conducted two weeks after their discharge. The transcribed interviews were analysed using systematic text condensation.

RESULTS

The study identified four themes related to the participants experiences. In the participants perspective it was difficult, due to fatigue and pain, to perform daily activities after discharge. Participants who experienced not being prepared and clarified in relation to their discharge continued to have concerns for the future. They also experienced some challenges related to lack of being involved and lack of receiving the information needed.

CONCLUSION

The findings contribute with impotant knowledge about elderly patients' experiences and concerns which should be taken into consideration in the discharge planning process .

摘要

引言

老年患者经常在不同的医疗机构接受来自不同提供者的护理和康复。因此,医院和初级保健提供者之间的合作对于确保康复的出院和过渡具有至关重要的意义。然而,对于老年患者出院后的经历以及他们出院后的日常生活的研究却很少受到关注。

目的

本研究探讨了老年患者在从急诊科短期住院病房出院后重新回归日常生活时的体验。

方法

在出院后两周对 11 名老年患者进行了 11 次定性访谈。对转录的访谈进行了系统文本冷凝分析。

结果

研究确定了与参与者体验相关的四个主题。参与者认为,由于疲劳和疼痛,出院后很难进行日常活动。那些觉得自己在出院方面没有得到充分准备和澄清的人,仍然对未来感到担忧。他们还经历了一些与缺乏参与和缺乏所需信息相关的挑战。

结论

这些发现提供了关于老年患者体验和关注点的重要知识,这些知识应该在出院计划过程中加以考虑。